| Ayni Neuroscience Institute Inc | |
|
2720 Central Ave Se Ste G210 Albuquerque NM 87106-2862 | |
| (505) 710-2312 | |
| Not Available |
| Full Name | Ayni Neuroscience Institute Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2720 Central Ave Se Ste G210, Albuquerque, New Mexico |
| Authorized Official Name and Position | Scott Charles Carroll (FOUNDER AND CEO) |
| Authorized Official Contact | 5057102312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayni Neuroscience Institute Inc 3430 Monte Vista Blvd Ne Albuquerque NM 87106-1327 Ph: (505) 710-2312 | Ayni Neuroscience Institute Inc 2720 Central Ave Se Ste G210 Albuquerque NM 87106-2862 Ph: (505) 710-2312 |
| NPI Number | 1295377083 |
|---|---|
| Provider Enumeration Date | 10/13/2019 |
| Last Update Date | 01/01/2020 |
| Certification Date | 01/01/2020 |
| Medicare PECOS PAC ID | 9032540802 |
|---|---|
| Medicare Enrollment ID | O20200511002785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295377083 | NPI | - | NPPES |
| Provider Name | Scott C Carroll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659333961 PECOS PAC ID: 4880645282 Enrollment ID: I20050321000636 |
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